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UNOFFICIAL 1737-5
§17-1737-1 Purpose. This chapter shall set forth: (1) Medical care and services provided to eligible persons under the fee for service component of the medical assistance program; (2) Excluded services; and (3) Conditions for payment. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: HRS §346-14)
§17-1737-2 REPEALED. [R 09/30/13]
SUBCHAPTER 2
INPATIENT AND OUTPATIENT HOSPITAL SERVICES, PHYSICIANS SERVICES
§17-1737-3 Inpatient hospital care. (a) Inpatient hospital care means services that are ordinarily furnished in a hospital for the care and treatment of inpatients under the direction of a physician, podiatrist, or dentist and which is furnished by an institution meeting the following requirements: (1) Is not maintained primarily for the treatment of tuberculosis, mental diseases, or Hansen's disease; (2) Is licensed as a hospital by the State; (3) Meets the requirements for medicare participation; and (4) Has in effect a utilization review plan approved by the department.
(b)Inpatient hospital care shall include the following:#
(b) Inpatient hospital care shall include the following: (1) Ward or semiprivate accommodations including bed and meals, or a private room when medically indicated; (2) Nursing care; (3) Drugs, dressings, and diagnostic and therapeutic procedures as prescribed by the attending physician; and (4) Other ancillary services associated with hospital care except private duty nursing.
(c)The department shall not pay for inpatient hospital…#
(c) The department shall not pay for inpatient hospital care in the following instances: (1) Patients whose medical needs do not require admission for acute inpatient care;